Organization
FREDERICK DERMATOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P HOGAN MD (PARTNER)
(301) 928-2105
Entity
Organization
Contact information
Practice address
45 THOMAS JOHNSON DR, FREDERICK, MD 21702-4425
(301) 928-2105
Mailing address
45 THOMAS JEFFERSON DRIVE, SUITE 209, FREDERICK, MD 21702-4425
(301) 928-2105
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/18/2008
Last updated
10/20/2008
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